HN-01790141_Dental and Dietary Considerations in Xerostomia Management

Introduction: Xerostomia or dry mouth is usually caused by inadequate function of the salivary glands. A number of diseases such as Sjögren s syndrome and diabetes, and head and neck radiation therapy and Chemotherapy may induce dry mouth. The older people are at high risk to dry mouth, leading to high risk of dental carries, various oral infections and denture fitness complications. The present study aimed to review different aspects and control strategies of xerostomia.Methods: Electronic literature search was carried out on xerostomia management from 2000-2018. The preventive strategies were presented.Results: Management of dry mouth depends on its underlying cause. The doctor might either alter the dosage or prescribe another drug which is less likely to cause dry mouth, if the dry mouth is caused by a medication. Symptomatic treatment typically includes four areas including stimulating saliva production, replacing lost secretions, controlling dental caries and some specific measures, such as treating infections. Sipping fluids (non-carbonated, sugarless), chewing xylitol-containing gum, and using a carboxymethyl-cellulose saliva substitute as a mouthwash may help to diminish the symptoms. Individuals with xerostomia should avoid sugary, spicy and excessively hot or cold foods and drinks. The patient should conduct routinely mouth examination. The patient should not wear dentures during sleep.Conclusion: The physicians, dentists and health care personnel (HCP) should be aware of etiology, problems and various ways of managing xerostomia to reduce the symptoms and complications.

Keywords:

Dry mouth , Diet , Management , Oral infection